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Full-Text Articles in Medicine and Health Sciences
Lack Of Effect Of Induction Of Hypothermia After Acute Brain Injury, Guy L. Clifton, Emmy R. Miller, Sung C. Choi, Harvey S. Levin, Stephen Mccauley, Kenneth R. Smith, J. Paul Muizerlaar, Franklin C. Wagner, Donald W. Marion, Thomas G. Luerssen, Randall M. Chesnut, Michael Schwartz
Lack Of Effect Of Induction Of Hypothermia After Acute Brain Injury, Guy L. Clifton, Emmy R. Miller, Sung C. Choi, Harvey S. Levin, Stephen Mccauley, Kenneth R. Smith, J. Paul Muizerlaar, Franklin C. Wagner, Donald W. Marion, Thomas G. Luerssen, Randall M. Chesnut, Michael Schwartz
Biostatistics Publications
Background
Induction of hypothermia in patients with brain injury was shown to improve outcomes in small clinical studies, but the results were not definitive. To study this issue, we conducted a multicenter trial comparing the effects of hypothermia with those of normothermia in patients with acute brain injury.
Methods
The study subjects were 392 patients 16 to 65 years of age with coma after sustaining closed head injuries who were randomly assigned to be treated with hypothermia (body temperature, 33°C), which was initiated within 6 hours after injury and maintained for 48 hours by means of surface cooling, or normothermia. …
Control Of Vancomycin-Resistant Enterococcus In Health Care Facilities In A Region, Belinda E. Ostrowsky , M.D., M.P.H., William E. Trick, Annette H. Sohn, Stephen B. Quirk, Stacey Holt , B.S., Loretta A. Carson , M.S., Bertha C. Hill, Mathew J. Arduino, Mathew J. Kuehnert, William R. Jarvis
Control Of Vancomycin-Resistant Enterococcus In Health Care Facilities In A Region, Belinda E. Ostrowsky , M.D., M.P.H., William E. Trick, Annette H. Sohn, Stephen B. Quirk, Stacey Holt , B.S., Loretta A. Carson , M.S., Bertha C. Hill, Mathew J. Arduino, Mathew J. Kuehnert, William R. Jarvis
VCU Health Publications
Background
In late 1996, vancomycin-resistant enterococci were first detected in the Siouxland region of Iowa, Nebraska, and South Dakota. A task force was created, and in 1997 the assistance of the Centers for Disease Control and Prevention was sought in assessing the prevalence of vancomycin-resistant enterococci in the region’s facilities and implementing recommendations for screening, infection control, and education at all 32 health care facilities in the region.
Methods
The infection-control intervention was evaluated in October 1998 and October 1999. We performed point-prevalence surveys, conducted a case– control study of gastrointestinal colonization with vancomycin-resistant enterococci, and compared infection-control practices and …